Provider Demographics
NPI:1629899216
Name:HUGUENIN, GENE F
Entity type:Individual
Prefix:
First Name:GENE
Middle Name:F
Last Name:HUGUENIN
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:809 REDDEN ROW
Mailing Address - Street 2:
Mailing Address - City:BLYTHEWOOD
Mailing Address - State:SC
Mailing Address - Zip Code:29016-7221
Mailing Address - Country:US
Mailing Address - Phone:704-743-7376
Mailing Address - Fax:
Practice Address - Street 1:809 REDDEN ROW
Practice Address - Street 2:
Practice Address - City:BLYTHEWOOD
Practice Address - State:SC
Practice Address - Zip Code:29016-7221
Practice Address - Country:US
Practice Address - Phone:704-743-7376
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-10-17
Last Update Date:2024-10-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC124659171WH0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171WH0202XOther Service ProvidersContractorHome Modifications